Individual
DR. RENATO SEGURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, LAC.
Contact information
Practice address
3990 SHERIDAN ST, SUITE 101, HOLLYWOOD, FL 33021-3661
(954) 987-4455
(954) 964-7342
Mailing address
3990 SHERIDAN ST, SUITE 101, HOLLYWOOD, FL 33021-3661
(954) 987-4455
(954) 964-7342
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AP2554
FL
208D00000X
General Practice Physician
018321
PR
208D00000X
General Practice Physician
Primary
ME135224
FL
390200000X
Student in an Organized Health Care Education/Training Program
12848-I
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FS584A
MEDICARE PTAN
—
Enumeration date
02/18/2010
Last updated
04/06/2022
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